06-100302 IT a bs
Cky of Federal WaMechanical Permit #• 06-100302-00-ME
Ecornrn1ervices •
P.O Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: STURGIS
Project Address: 527 SW 293RD ST Parcel Number: 119600 1670
Project Description: Replace gas hot water tank.
`
Owner Applicant Contractor
WILLIAM H STURGIS WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
DOROTHY STURGIS 2800 THORNDYKE AVE W WASHIES971 OB (9/2/06)
527 SW 293RD ST SEATTLE WA 98199 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199
98023-3537
Additional Permit Information
Mechanical Valuation 600 Over the Counter Permit? Yes
Plumbing Fixtures
Water Heaters 1
CONDITIONS: .
PERMIT EXPIRES Tuesday, July 25, 2006 .
Permit Issued on Thursday, January 26, 2006 .
I hereby certify that the above information is correct and that the construction on the above described property and -
the occupancy and the se will be in ccordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: t1�1-‘_ Date:
144 c
$
THIS CARD IS TO REMAIN ON-SITE IP%
Jo i A
CITY OF Community Development Inspection Rec rd
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-100302-00-ME
Owner: WILLIAM H STURGIS
Address: 527 SW 293RD ST
FEDERAL WAY, WA 98023-3537
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
0 Mechanical Rough-in(4165) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date Bye U3 Dat 7.. b• C3
,
4:0-2006 11:24 FROM:PERMIT 4257756315 T0:12538352609 P.5
.11.
A
0 fo - / 0 0 3 _0. 2_
Federa lWay PERMIT
COMM UtO7YDEV2LOPMENT,ERVICEs SF MF CO L PL DE N FP
,,,TS I w AVEHUE sou7f1•b BOX 9718
; , A,WA?5,° 719 APPLICATION D illleillIlmlI iPA"
II
www. I uomedemlvm u.COM
The oUowin• is re•aired information-an incom•tete a••lication will not be acce•ted. .lease •rint le•ad in in or ty.e.
' ' ' " • PROPERTY RTY INFORMATION
SITE ADDRESS 45-a_7 '.5 �� Z ! r / ( ' . SUITE/UNIT I
ASSESSOR'S TAX/PARCEL I L / q SLS DO - ( 7(') LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attadt agwnteparr*lawasm Wag deamP
• ' •• - - - •. ni PROJECT INFORMATION
(MECHANICAL
, .� •.TYPE OF PERMIT ❑BUILDING ❑ PLUMBING
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this hermit only)
Al
•
. ' chT0 (.7,1/4j .119't V
PROJECT NAME(Name of Business or Owner Last Name) `,J / t rg LS
' IN PEOPLE INFORMATION '
PROPERTY • NAME
// / PRIMARY PHONE p, �/
OWNER (/ Ca �IYt V rya' ( Z �3 2 ?--
MAILING ADDRESS CITY,STATE,ZIP
5)- 7 J'W Z9 3'').i 1 ecJ ei-J-.47 c-, e,( _ 9P-6 2' >
CONTRACTOR COMPANY NAME APPLICANT NAME / OFFICE PHONE
i.() d1-J E-( atex-1 Lj �&v1C'as (' )MAILING -
- - ADD } •u cG 77, ) •9TAV, W 4 Ci;tT CELL PHONE -
ICITCITY'�jOjF"4FE�EDDERAL WAY BUSINESS ENSE NO,t HERR' EXPIRATION D�TE FAX NUMBER
2/°2-2 'z-L `F2 3_Y_- I / ( ) -
CONTRACTOR'S REGISTRATION NUMBER leap sl ward regale/ad with such applteatlesi EXPIRATION DATE
WAs-ti0Sg710 q 1poi
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
a..e /wAA-t�L OtAa,---rt/Lavaa.,A .to)7.,z - cela)
MAIUNO ADDRE3 TAT, I CELL PHONE
?-8-0-t) car �k��` c.,2,291-ti 7 ( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NOME P RY PHONE E-MAIL ADDRESS
ttrl M -11-0-y rt&UIS'f . z ),�-.73- - �*f4 --5
LENDER �; '
3 "l.ir'1;? ,;Z(, ,.ia x.i; }r:xf:C�:f4a4�'.•),.7f tn+;Ta,i NAME
ka,4,1P,4-;pian 2"47.4.1-1,4t4i1c:r;,.4rCr,1ia-i.iclisIdidk
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
i. ` :'';,?k ': / •DETAILED BUILDING INFORMATION; ,`. '
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ •
SPRINKLERED BUILDING? Ci YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? ❑YES CI NO -
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
_'0-P006 11:24 FROM:PERMIT 4257756315 TO:12538352609 P.6
'' • 7 4 2y S r'5' 11%
PROJECT FLOOR AREAS • • • ,
AREA DESCRIPTION - EXISTING PROPOSED TOTAL
• SQ.FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND -
THIRD •
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?) •
GARAGE 0 CARPORT 0
NUMBER OF FLOORS 2n`O PEOtosso TOTAL • , L+•,.:.:.
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type•ofxtture to be installed or relocated as part of this proJect. Do not include existing Jixdures to remain.
MECHANICAL /„CO/y !
Value of Mechanical Work
AIR HANDLING UMTS EVAPORATIVE COOLERS OAS LOOS REFRIO.SYSTEMS
BBQS FANS HOODS ic....ma) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES / GAS WATER HEATERS
DUCTS OAS PIPE OUTLETS
PLUMBING •
BATHTUBS(.r Tub/sh.w.,C..b.l SHOWERS • WATER CLOSETS(r.n.q MISC(beecribe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS - SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
• LAVS(Bathroom!Unita' VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER •
/SIGNATURE BLOCK ' " •
I cert(fy under penalty of perfury that the information furnished by me is true and correct to the best of my knowledge,and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is Made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expo , and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by dny person,including the undersigned, and filed against the City of Federal Way,but only where such claim•
arises out.f the reliance of the city, MelqiA '
its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE G44
.dc- a-4121
4121 DATE {4..40/c/-
(Signature)
(Title)
►1
RELATIONSHIP TO PROJECT Q Owner Agent O Contractor CI Architect 0 Other •
•
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) (iiGts)u)nS�c;.:03
a �,dh,'.))44;,`Fr, .w`Mt,, 14,9:. - i _� c c 1 1 .,F„1`io;• ,:r � ,,
A,c4dri ;}'t_,)aL '(0)J.t'ltliciI4 c ;3'r s o Z •,�ri�% III..410
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